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Ensures that medical billings and payment postings for Veradigm's clients are processed accurately and quickly. Works closely with offshore resources to reconcile payments and billings, monitors and reconciles batches to…
Skills: Medical billing, Payment posting, Reconciliation, Customer service, Data integrity
The coordinator is responsible for managing medical billing charges, reconciling batches, and resolving payment inquiries for offshore operations. They also oversee claim rejections and perform audits to ensure accurate data entry and compliance with company policies.
Requirements
Candidates must possess strong customer service skills and the ability to handle client interactions promptly. Proficiency in medical coding, specifically ICD-9 and CPT modifiers, is required to manage charge entries and claim edits effectively.
Full job description
Work Location - Pune (Work From office)
Shift Timing - 7.30PM to 4.30AM
Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
Prepares charges for offshore operations and answers and resolves questions.
Complete chargers and/or resolve charge and payment inquires for off-shore vendors.
Prepares assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.
Reviews source codes; tallies Hash totals.
Maps ICD nine, CPT, and modifiers as needed.
Creates claim edit report for charge entries.
Reconciles imputed payment postings and balances batch reports.
Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc., return any charges to the Doctors office that require clarification.
Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch.
Import or enter Charges and post payments for Clients not placed with IHS.
Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.
Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.
Complies and enforces all policies and procedures related to the position, the department, and the company.
Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
Demographic, charge and payment import posting (specific to our India based team)
Benefits
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.
Quarterly Company-Wide Recharge Days
Peer-based incentive “Cheer” awards
Tuition Reimbursement Program
To know more about the benefits and culture at Veradigm, please visit the links mentioned below: -
Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
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Driving value through its unique combination of platforms, data, expertise, connectivity, and scale.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Chicago, IL
LinkedIn followers
180,544
Total funding
$175M
Veradigm is an integrated data systems and services company that combines data-driven clinical insights with actionable tools to help healthcare stakeholders improve the quality, efficiency, and value of healthcare delivery—these stakeholders include biopharma, health plans, healthcare providers, network partners, and most importantly, the patients they serve.
We build solutions that are designed to help healthcare stakeholders to improve patient lives through data driven insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life. As a result, Veradigm attracts leaders in healthcare, technology, and innovation, seeking to work with us to deliver insights and solutions to the benefit the healthcare ecosystem with the objective being to improve healthcare quality while lowering the cost of healthcare.
Veradigm is an organization comprised of passionate and energetic people whose everyday focus is on helping all healthcare stakeholders drive the best care possible for healthier communities. We believe diversity is the foundation of innovation, and we are dedicated to fostering an inclusive environment that supports the talents of all people.
Offices: 222 Merchandise Mart Plaza, Suite 2024, Chicago, IL 60654, US · 305 Church at North Hills Street, Raleigh, NC 27609 , US
HospitalInformation TechnologyData IntegrationHealth CareInformation ServicesSecurityAnalyticsElectronic Health Record (EHR)
Driving value through its unique combination of platforms, data, expertise, connectivity, and scale.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Chicago, IL
LinkedIn followers
180,544
Total funding
$175M
Veradigm is an integrated data systems and services company that combines data-driven clinical insights with actionable tools to help healthcare stakeholders improve the quality, efficiency, and value of healthcare delivery—these stakeholders include biopharma, health plans, healthcare providers, network partners, and most importantly, the patients they serve.
We build solutions that are designed to help healthcare stakeholders to improve patient lives through data driven insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life. As a result, Veradigm attracts leaders in healthcare, technology, and innovation, seeking to work with us to deliver insights and solutions to the benefit the healthcare ecosystem with the objective being to improve healthcare quality while lowering the cost of healthcare.
Veradigm is an organization comprised of passionate and energetic people whose everyday focus is on helping all healthcare stakeholders drive the best care possible for healthier communities. We believe diversity is the foundation of innovation, and we are dedicated to fostering an inclusive environment that supports the talents of all people.
Offices: 222 Merchandise Mart Plaza, Suite 2024, Chicago, IL 60654, US · 305 Church at North Hills Street, Raleigh, NC 27609 , US
HospitalInformation TechnologyData IntegrationHealth CareInformation ServicesSecurityAnalyticsElectronic Health Record (EHR)